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SUPERIOR HOSPICE INC.
NPI 1265211171
Hospice Care, Community Based in Golden Valley, MN

Active since September 28, 2023CLIA 24D2298664 · Waiver
800 BOONE AVE N STE 194, GOLDEN VALLEY, MN 55427(763) 277-8777(763) 277-8778 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2024, Oct 11, 2023 (2 updates tracked since 2023).

About Superior Hospice Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPERIOR HOSPICE INC. (NPI 1265211171) is a healthcare organization registered as a hospice care, community based in Golden Valley, Minnesota and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through February 5, 2028 and lists Michael Lecy, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1265211171
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSUPERIOR HOSPICE INC.
Location Address800 BOONE AVE N STE 194Golden Valley, MN 55427-4476
Mailing Address800 Boone Ave NGolden Valley, MN 55427-4468 · (763) 267-6648 · Fax (763) 417-9999
Phone(763) 277-8777
Fax(763) 277-8778
Organization SubpartNo
Authorized OfficialMichael LecyVp Of Operations · (763) 233-7565
Enumeration DateSeptember 28, 2023
Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1265211171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
800 BOONE AVE N STE 194, Golden Valley, MN 55427
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2298664

Superior Hospice Inc · Golden Valley, MN
Active · expires Feb 5, 2028
CLIA Number24D2298664
Laboratory TypeHospice
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorAndrea Kussmaul
Laboratory Phone(763) 277-8777
Laboratory LocationSuperior Hospice Inc800 Boone Ave N Ste 194, Golden Valley, MN 55427
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Superior Hospice Inc.'s NPI number?

The NPI number for Superior Hospice Inc. is 1265211171. It was assigned to this organization in the NPPES registry on September 28, 2023.

Where is Superior Hospice Inc. located?

Superior Hospice Inc. is located at 800 Boone Ave N Ste 194, Golden Valley, MN 55427. The listed phone number is (763) 277-8777.

What is Superior Hospice Inc.'s specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Superior Hospice Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2298664) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Superior Hospice Inc. was last updated on November 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.